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Barriers and facilitators to the nationwide dissemination of the Dutch school-based obesity prevention programme DOiT

Journal

European Journal of Public Health

Volume | Issue number

26 | 4

Pages (from-to)

611-616

Document type

Article

Faculty

Faculty of Social and Behavioural Sciences (FMG)

Institute

Amsterdam School of Communication Research (ASCoR)

Abstract

Background: This article describes the barriers and facilitating factors to the adoption, implementation and continuation
of the Dutch Obesity Intervention in Teenagers (DOiT) programme in the Netherlands. Methods: We evaluated the adoption,
implementation and continuation of the programme at 20 voluntary prevocational schools, which adopted the programme. Interviews
were conducted with DOiT coordinators and/or teachers ( n = 44) at the end of the first and second school year of the 2-year
implementation period. Interviews were recorded and transcribed verbatim. Data were coded by two researchers independently.
Identified barriers and facilitating factors were categorized into four groups: (i) organizational factors, (ii) individual
factors, (iii) characteristics of the programme and (iv) characteristics of the implementation strategy. Results: Teachers
and DOiT coordinators identified various implementation barriers (e.g. lack of planning, other urgent unforeseen priorities,
no plan to cope with teacher turnover and high teacher workload) as well as facilitating factors (e.g. involvement of DOiT
coordinator and support from the DOiT office, sufficient communication and collaboration between teachers, strong teacher
motivation and flexibility of the programme). Conclusion: Overall, DOiT implementers were satisfied with the compatibility,
layout, content and potential for tailoring the programme. Barriers for successful implementation were mainly at the school
and teacher level. Findings of this study can be used for further improvement of the DOiT programme and for the development
and improvement of other health promotion programmes in the school setting.

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